Print Inspection: KIT010194

OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule (1) The residential care or assisted living facility must provide a minimum scope of services as follows: (a) Three daily nutritious, palatable meals with snacks available seven days a week, in accordance with the recommended dietary allowances found in the United States Department of Agriculture (USDA) guidelines, including seasonal fresh fruit and fresh vegetables; (A) Modified special diets that are appropriate to residents' needs and choices. The facility must encourage residents' involvement in developing menus. (B) Menus must be prepared at least one week in advance, and must be made available to all residents. Meal substitutions must be of similar nutritional value if a resident refuses a food that is served. Residents must be informed in advance of menu changes. (C) Food must be prepared and served in accordance with OAR 333-150-0000 (Food Sanitation Rules). This Rule is not met as evidenced by: Based on observation and interview, it was determined the facility failed to ensure kitchen practices and protocols were in accordance with the Food Sanitation Rules OAR 333-150-000. Findings include, but are not limited to: On 03/19/26, between 10:45am and 2:00pm, the facility kitchen was observed, and the following was identified: 1. Sanitation: * PH test strips were not available to monitor sanitizer solution for non-food contact surfaces; * Sponges were being utilized for ware washing; * No fine tip thermometer and alcohol wipes were available; * Care staff did not have a contact barrier between potentially contaminated clothing and food delivery; * Food was not covered throughout delivery to resident rooms; * Cutting board on deli cooler – heavily scored, stained, and non-cleanable; and * Apples and bananas that had been sliced and were uncovered, without serving utensils for resident access on the service counter in a high traffic area. 2. Cleaning: * Tops of refrigerator/cappuccino machine – dusty. The areas of concern were observed and/or discussed with Staff 1 (PIC/Dietary Manager), Staff 2 (Administrator), and Staff 3 (Interim Administrator). Staff acknowledged the findings at approximately 2:00pm on 03/19/26.

1.Sanitation - PH test strips were not available to monitor sanitizer solution for non-food contact surfaces; - Test strips have been acquired and placed, to monitor sanitizer solutions for non-food contact surfaces. - Sponges were being used for ware washing; - Sponges have been removed for ware washing. - No fine tip thermometer and alcohol wipes were available; - Fine tip thermometers have been ordered and will be distributed upon arrive. - Care staff did not have a contact barrier between potentially contaminated clothing and food delivery; - Inservice for contact barrier will be completed with staff for educations on food safety. - Food was not covered throughout delivery to resident rooms; - Inservice for food delivery/coverage will be completed with staff. - Cutting board on deli cooler – heavily scored, stained, and non-cleanable; - New cutting boards will be purchased and distributed. - Apples and bananas that had been sliced and were uncovered, without serving utensils for resident access on the service counter in a high traffic area. - Inservice on food serving and utensil usage.

OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule (1) The residential care or assisted living facility must provide a minimum scope of services as follows: (a) Three daily nutritious, palatable meals with snacks available seven days a week, in accordance with the recommended dietary allowances found in the United States Department of Agriculture (USDA) guidelines, including seasonal fresh fruit and fresh vegetables; (A) Modified special diets that are appropriate to residents' needs and choices. The facility must encourage residents' involvement in developing menus. (B) Menus must be prepared at least one week in advance, and must be made available to all residents. Meal substitutions must be of similar nutritional value if a resident refuses a food that is served. Residents must be informed in advance of menu changes. (C) Food must be prepared and served in accordance with OAR 333-150-0000 (Food Sanitation Rules). This Rule is not met as evidenced by:

OAR 411-057-0140(2) Administration Compliance (2) The licensee of a memory care community must comply with both the licensing rules for the facility and Chapter 411, Division 57. This Rule is not met as evidenced by: Based on observation and interview, it was determined the facility failed to follow licensing rules for Residential Care and Assisted Living Facilities. Findings include, but are not limited to: Refer to C240.

2. Cleaning: - Tops of refrigerator/cappuccino machine – dusty. -cleaning of refrigerator/cappuccino machines will be added to NOC cg task sheets for nightly cleaning.

OAR 411-057-0140(2) Administration Compliance (2) The licensee of a memory care community must comply with both the licensing rules for the facility and Chapter 411, Division 57. This Rule is not met as evidenced by: